Comparative Effect of Scapular Stabilization vs Thoracic Extension Exercises in Young Adults With Text Neck Syndrome.
Study Details
Study Description
Brief Summary
The aim of the study is to compare the effect of scapular stabilization versus thoracic extension exercises on pain, disability, range of motion, and cranio-vertebral angle in young adults with Text Neck Syndrome.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
Text neck has emerged as a widespread modern epidemic that affects people of all ages, particularly younger populations, as they are exposed to handheld mobile device use for several hours a day beginning at a very early age. The relation between the posture due to handheld mobile device use and neck pain is still debatable. To manage the maladaptive posture of the cervical spine, indirect treatment instead of direct treatment of the neck can be used, which is the basis for the concept of regional interdependence, i.e., the cause of pain becomes the cause of damage to other body parts. Therefore, not treating the damaged part, but indirectly treating the area of cause can alleviate the symptoms. A bio-dynamic relationship between the cervical and thoracic spine is associated with exercise, an important factor causing neck pain. Therefore, many clinicians pay attention to the thoracic spine of patients with neck pain and recommend thoracic extension exercises. On the other hand, many researchers recommended scapular stabilization exercise as a recovery treatment for imbalanced scapular muscles caused by forward head posture.
This study investigates how exercise programs not directly applied to the cervical spine affect people with text neck syndrome. The significance of the current study is to evaluate the comparison between concentric and eccentric exercise which is previously rarely investigated.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Scapular Stabilization Exercises Scapular stabilization exercises along with the hot pack and cervical AROM exercises |
Other: Scapular stabilization exercises
The scapular stabilization exercises will be comprised of four exercise programs. Each exercise will be performed with two sets of 15 reps, 10 sec per rep 40 min per day, thrice per week for a total of six weeks. Baseline treatment will be the application of a hot pack for 7-10 minutes and cervical AROM exercises.
|
| Experimental: Thoracic Extension Exercises Thoracic extension exercises along with the hot pack and cervical AROM exercises |
Other: Thoracic extension exercises
Thoracic extension exercises will be comprised of three exercise programs. Each exercise will be performed with two sets of 15 reps, 10 sec per rep 40 min per day, thrice per week for a total of six weeks. Baseline treatment will be the application of a hot pack for 7-10 minutes and cervical AROM exercises.
|
Outcome Measures
Primary Outcome Measures
- Neck disability index (NDI) [6 weeks]
Changes from baseline. NDI is a valid and reliable tool having values ranging from 0.50 to 0.98. The NDI assessment involves a 10-item, 50-point index questionnaire that assesses the effects of neck pain and symptoms during a range of functional activities.
- Visual analogue scale (VAS) [6 weeks]
Changes from baseline. The visual analogue scale (VAS) is a simple and frequently used method for the assessment of variations in intensity of pain. The reliability of the VAS for disability is moderate to good i.e. 0.98. However, its validity is questionable.
- Goniometer for cervical ROM [6 weeks]
Changes from baseline. Goniometer has fair inter-tester reliability ranging from 0.79-0.92. Validity of this tool is good i.e. 0.97-0.98 This tool is most commonly used in the clinical settings for evaluating joint ROM.
- Photogrammetry for craniovertebral angle (image j software) [6 weeks]
Changes from baseline. 'Image J', is an analysis software with high reliability and validity. In this study, CVA will be assessed using a digital camera. The camera will be placed 1.5 m away from the participant's right side to take a lateral photographic view of the participant's head and neck in a seated position. The CVA is the angle between the horizontal line passing the 7th Cervical vertebra (C7) and then the line extending from C7 to the tragus of the ear. The resulting mal-adaptive posture of neck will be determined using Image J software.
Eligibility Criteria
Criteria
Inclusion Criteria:
Both male and female participants with forward head posture or text neck syndrome,
Participants with neck pain from the past three months,
Smartphones must be used for at least ≥3 hours each day,
Participants with CVA <53° will be included in this study.
Exclusion Criteria:
History of cervical and thoracic spine surgery within the past three months,
Serious pathological conditions within the past three months,
Congenital spinal anomalies, or rheumatoid arthritis.
Neurological signs and severe psychological disorders
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Punjab Employees Social Security Institute | Lahore | Punjab | Pakistan | 54000 |
Sponsors and Collaborators
- Riphah International University
Investigators
- Principal Investigator: Faiza Amjad, M.Phil, Riphah International University
Study Documents (Full-Text)
None provided.More Information
Publications
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- REC/RCR & AHS/23/0161